Prosthetic Devices Detailed
Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare covers prosthetic devices needed to replace a body part or function. These include Medicare-approved corrective lenses needed after a cataract operation, ostomy bags and certain related supplies, and breast prostheses (including a surgical brassiere) after a mastectomy.
Medicare also covers artificial limbs and eyes, and arm, leg, back, and neck braces. Medicare does not pay for orthopedic shoes unless they are a necessary part of the leg brace and the cost is included in the charge for the brace. Medicare does not pay for dental plates or other dental devices.
CoPayment: The amount you need to pay.
You pay 20% of Medicare-approved amounts.
Medicare Part: The part of Medicare that pays for this service or supply.
Organization Name: The organization name that this coverage topic is associated with.
DMERC -- Durable Medical Equipment Regional Carrier
Important Notes: Details regarding important notes about the coverage.
You must pay an annual $100 deductible for Part B services and supplies before Medicare begins to pay its share. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.